HomeMy WebLinkAboutReview Checklist � � ���� TOWN OF YARMOLJTH �'�� ,�C ��i�c'��
� SEWAGE PLAN REVIEW CHECKLIST �� 4
Locarion: A.M.�� I,ot�So Zone of Conlriburion: In_ Out� Acreage
�//_ /' Commercial: Residential: vL
Street: ��-� YG�/IL�/,1/.�/C�,/.���!/ �
Village: � },�, l �� Floor Plan: � #Bedrooms:
Owner: c/ (,0'v�'( f�y/O/✓ Install�: �7 �� ��
Address: Phone: Q�- -�"2 - �, Z 3 7
Phone: ,
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Build�: Engincer: �C�/// ��2��G/%�7
Address: Phone: -q-.�_-��
Phone: + �� �
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N/A S NO
1.R uired# of ies received
2.Date of soils acam and ercolation test not older than 2 years �
3.45 ft of na occurrm ervious material, above water table
4.Foundation 2 ft above hi oi�of road A.P.: Fnd: Vaz.:
5. Water line 10 ft from s 'c com onems Vaz.:
6.Benchmuk indicated and shown-NGVD if near wexlands `�/
7. S tic tank minimum 10 ft from foundation, deck Var.: L�
8. I,eachin minimum 20 ft full, 15 ft ctawl, 10 ft slab Var.: _� � �
9.Leachin miniwum 100 ft from weUands Vaz.:
10.I.eaching minimum 150 ft from drinking we1ll25 ft irri 'on well Var.:
11.Tank/leachin minimum 10 ft from r line Vat.: '
12. S meets all other setback r ' ements Vaz.: ��
13.Uses adjustme�for maximum hi groundwater Vaz.:
14.Leaching set 45 ft above ad". water or botto of test hol� V .: �_/
15. S stem not in to or subsoil(A,B horizons) r 5' removal .
16.Pro sed contours aze suitable
17. S stem meets slo e r 'sements-min. 1/8", '/d' ef�red
18. S stem meets breakout r ' ements PVC liner: ,, - Wall:
19. S ecified tee sizes are ro �, baffie on ouUet tee
20. Sewa e is under 10,000 d for azcel
21.No e ' osal
- 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to grade
� 25. ion on lastic chamb�s/leach field
26.Electrical ermit for chamber/S azate meter for du lexes
27.Pum stem-2"line,wee hole,check valve,tee in dbox, um size ��
28. S 'c tank/ chambes to be factory wa roofed
29.Ve� rovided if leachin below 3 feet, under driveway/ azkin
30.Buo anc calculations for tank/ um chamb�
31.En ' e�to ' ect and soils: ,/6vall: commercial:
32. ' eer/Registaed Sanitarian and Land Surveyor s/si ture
33.H-20 loadin is subject to vehicular haffic, oundwatea
34.Title V lication and ermit fee, installer si ture
35.Foundation footin min. 2 fed above ad'usted ound water for new house
36.Deed Restriction r ired max. #bedrooms: ma��. flow: d `
37.Check azea lots for undwat�/Label oundwater in Assessor's Ma
Plan reviewed by: C%�� ��
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